Thursday, April 02, 2020

Problematic definition of ‘COVID-19 death’ may be inflating death rate, leading to draconian lockdowns

It is not outright evident what is included in the phrase “Covid-19 death.” One has to do some literature research on the source of mortality data for potential hints. According to the CDC, “[t]he basic source of information about mortality is the death certificate.” 
One clue, then, is observable in how the CDC is advising physicians to fill out death certificates. Death certificates should describe immediate cause of death as well as factors contributing to death. 
In many states, death certificates are public records. From the CDC: Death certificates are used for surveillance [of HIV/AIDS, influenza, pneumonia, tuberculosis, etc.], outbreaks, and emergency activities…because death is a sentinel event. Rapid reporting of deaths is required by law. 
The information is used at local and state health departments and the Centers for Disease Control and Prevention (CDC) for rapid response. (No. 6) It is apparent, then, that national mortality data including the CDC’s “Covid-19 deaths” statistics arise from what is reported on death certificates. 
Physicians document the medical information on the death certificate. How, then, are physicians advised to record a death in which SARS-CoV-2 virus or “Covid-19” may be involved? The CDC recently published a “Covid-19 Alert” dated March 24, 2020 with guidance on the topic. 
The document summarizes potential questions from death certificate certifiers, which are most often physicians. One question which indicates how broadly “Covid-19 death” is being defined is, “[s]hould ‘COVID-19’ be reported on the death certificate only with a confirmed test?” 
The CDC gives the following guidance: 
COVID-19 should be reported on the death certificate for all decedents where the disease caused or is assumed to have caused or contributed to death. Certifiers should include as much detail as possible based on their knowledge of the case, medical records, laboratory testing, etc. If the decedent had other chronic conditions such as COPD or asthma that may have also contributed, these conditions can be reported in Part II.
GO READ THE WHOLE THING.

No comments: